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ANDREW STANITSAS D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1912087024

Individual Registrant:
 ANDREW  STANITSAS D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3121 MAINWAY DR  ROSSMOOR, CA 90720-4815 US
Tel: 562-397-3811  Fax: 562-493-3971

Contact information for business:
3121 MAINWAY DR  ROSSMOOR, CA 90720-4815 US
Tel: 562-397-3811  Fax: 562-493-3971

Registration Information:
NPI: 1912087024
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A6873
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
CA20A6873

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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